Identifying the readiness of patients in implementing telemedicine in northern Louisiana for an oncology practice

Gurupur, Varadraj P.; Shettian, Kruparaj; Xu, Peixin; Hines, Scott; Desselles, Mitzi; Dhawan, Manish; Wan, Thomas T. H.; Raffenaud, Amanda; Anderson, Lindsey

doi:10.1177/1460458216639740

Cited by 27 publications

(33 citation statements)

References 35 publications

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“…Future research should also address the development of attitudinal measures toward telehealth that exhibit good psychometric properties. Most studies in the literature, similar to our study, use various sets of statements that reflect the particular research question and setting [ 28 , 58 , 59 ]. Furthermore, it is important to incorporate additional factors such as social influence [ 9 ] and privacy and data security issues [ 60 ] and explore their impact on telehealth acceptance and adoption.…”

Section: Discussionmentioning

confidence: 99%

“…We assessed attitudes toward telehealth by asking respondents to rate their level of agreement (5-point Likert scale: 1=strongly disagree to 5=strongly agree) with 9 statements reflecting different aspects of telehealth use such as perceived ease of use, perceived usefulness, and perceived cost effectiveness. The statements were adopted with minor modifications from a study on patient telemedicine readiness in a Louisiana oncology practice [ 28 ]; the instrument was developed based on the technology acceptance model [ 7 , 33 ] and the fit between individuals, task, and technology framework [ 34 ]. The summated scale (range 9 to 45 with higher scores reflecting more positive attitudes) demonstrated good internal consistency (Cronbach alpha of .794); the internal consistency was lower for the Spanish surveys (Cronbach alpha of .757) as compared with the English surveys (Cronbach alpha of .839) but still above the acceptable .70 threshold value [ 35 ].…”

Section: Methodsmentioning

confidence: 99%

“…However, most patient research on telehealth has been conducted at the international level [ 21 , 25 , 26 ] or has focused on white, non-Hispanic populations within the United States [ 27 ]. The perspective and characteristics of individuals from vulnerable US minority communities has not received much attention, although there are a few notable exceptions focused primarily on African Americans [ 28 , 29 ]. Given that Hispanics are the largest minority group in the United States [ 30 ], it is important to understand the factors that influence their acceptance of telehealth, especially given that acceptance is a predictor of adoption [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

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Understanding the Intention to Use Telehealth Services in Underserved Hispanic Border Communities: Cross-Sectional Study

Ghaddar¹,

Vatcheva²,

Alvarado³

et al. 2020

J Med Internet Res

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Background Despite the United States having one of the leading health care systems in the world, underserved minority communities face significant access challenges. These communities can benefit from telehealth innovations that promise to improve health care access and, consequently, health outcomes. However, little is known about the attitudes toward telehealth in these communities, an essential first step toward effective adoption and use. Objective The purpose of this study is to assess the factors that shape behavioral intention to use telehealth services in underserved Hispanic communities along the Texas-Mexico border and examine the role of electronic health (eHealth) literacy in telehealth use intention. Methods We used cross-sectional design to collect data at a community health event along the Texas-Mexico border. The area is characterized by high poverty rates, low educational attainment, and health care access challenges. Trained bilingual students conducted 322 in-person interviews over a 1-week period. The survey instrument assessed sociodemographic information and telehealth-related variables. Attitudes toward telehealth were measured by asking participants to indicate their level of agreement with 9 statements reflecting different aspects of telehealth use. For eHealth literacy, we used the eHealth Literacy Scale (eHEALS), an 8-item scale designed to measure consumer confidence in finding, evaluating, and acting upon eHealth information. To assess the intention to use telehealth, we asked participants about the likelihood that they would use telehealth services if offered by a health care provider. We analyzed data using univariate, multivariate, and mediation statistical models. Results Participants were primarily Hispanic (310/319, 97.2%) and female (261/322, 81.1%), with an average age of 43 years. Almost three-quarters (219/298) reported annual household incomes below $20,000. Health-wise, 42.2% (136/322) self-rated their health as fair or poor, and 79.7% (255/320) were uninsured. The overwhelming majority (289/319, 90.6%) had never heard of telehealth. Once we defined the term, participants exhibited positive attitudes toward telehealth, and 78.9% (254/322) reported being somewhat likely or very likely to use telehealth services if offered by a health care provider. Based on multivariate proportional odds regression analysis, a 1-point increase in telehealth attitudes reduced the odds of lower versus higher response in the intention to use telehealth services by 23% (OR 0.77, 95% CI 0.73-0.81). Mediation analysis revealed that telehealth attitudes fully mediated the association between eHealth literacy and intention to use telehealth services. For a 1-point increase in eHEALS, the odds of lower telehealth use decreased by a factor of 0.95 (5%; OR 0.95, 95% CI 0.93-0.98; P<.001) via the increase in the score of telehealth attitudes. Conclusions Telehealth promises to address many of the access challenges facing ethnic and racial minorities, rural communities, and low-income populations. Findings underscore the importance of raising awareness of telehealth and promoting eHealth literacy as a key step in fostering positive attitudes toward telehealth and furthering interest in its use.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Understanding the Intention to Use Telehealth Services in Underserved Hispanic Border Communities: Cross-Sectional Study

Ghaddar¹,

Vatcheva²,

Alvarado³

et al. 2020

J Med Internet Res

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“…The results of this measure of empowerment may be discussed between the patient and clinician in order to decide together which care pathway is most appropriate. An assessment of the patient's readiness to use technology to manage their care may also be required, by using an additional questionnaire (Gurupur et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Have Cochlear Implant, Won't Have to Travel: Introducing Telemedicine to People Using Cochlear Implants

Cullington

Kitterick

DeBold³

et al. 2016

Am J Audiol

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A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription. Method: Sixty people with cochlear implants will be recruited and randomized to either the remote care group or a control group. The remote care group will use new tools for 6 months: remote and selfmonitoring, self-adjustment of device, and a personalized online support tool. The main outcome measure is patient empowerment, with secondary outcomes of hearing and quality of life stability, patient and clinician preference, and use of clinic resources. Conclusion:The clinical trial ends in summer 2016. Remote care may offer a viable method of followup for some adults with cochlear implants.

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“…The questionnaire was divided into four parts: (1) sociodemographic data (11 questions), (2) questions about musculoskeletal care (4 questions), (3) questions about telemedicine readiness (7 questions), and (4) knowledge and acceptance of telemedicine during the COVID-19 pandemic (8 questions) [15].…”

Section: Data Collectionmentioning

confidence: 99%

Telemedicine for Musculoskeletal Care During the COVID-19 Pandemic: Evaluating Readiness of Saudi Citizens

Alhamam¹,

Buhalim²,

Almakhayitah³

et al. 2021

Cureus

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Introduction: Since coronavirus disease 2019 (COVID-19) was announced as a global pandemic, it has become important to control the pandemic with several approaches, including limiting hospital visits. Telemedicine is a good option to help reduce in-person visits during the pandemic. Saudi Arabia has prepared for this pandemic by implementing applications, such as Tetamman and Seha. In this study, we aimed to determine the readiness of the Saudi population to use telemedicine for musculoskeletal care during the COVID-19 pandemic. Methods: A cross-sectional study was conducted from July 2020 to October 2020. The study used a predesigned, self-administered questionnaire with acceptable internal consistency (Cronbach's α=0.79). A questionnaire with 30 questions was distributed electronically and randomly to the Saudi population. The included participants were Arabic speakers, Saudis, and men or women age 18 years or older. Results: A total of 635 respondents, of which 250 were men (39.4%) and 385 were women (60.6%), completed the questionnaire. The most common region of residence was the Central region (41.6%), followed by the Eastern region (28%). The proportions of patients who had knowledge about virtual clinics and who used a virtual clinic during the COVID-19 pandemic were 47.6% and 30.4%, respectively. The mean overall attitude score was 24.4 (standard deviation, 9.9) of 35 points; negative, neutral, and positive attitudes were reported among 9.9%, 54.3%, and 35.7% of respondents, respectively. Compared with the older population, younger-aged participants (≤25 years) had significantly more positive attitudes about virtual clinics (χ 2 =6.068; p=0.048). Those respondents who had never been married showed significantly more positive attitudes about virtual clinics compared with those who had been married (χ 2 =6.695; p=0.035). Conclusions: The studied Saudi population shows a moderate level of acceptance of the concept of using telemedicine in musculoskeletal conditions, but some issues about patient access and understanding of the technology remain unaddressed.

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Identifying the readiness of patients in implementing telemedicine in northern Louisiana for an oncology practice

Cited by 27 publications

References 35 publications

Understanding the Intention to Use Telehealth Services in Underserved Hispanic Border Communities: Cross-Sectional Study

Understanding the Intention to Use Telehealth Services in Underserved Hispanic Border Communities: Cross-Sectional Study

Have Cochlear Implant, Won't Have to Travel: Introducing Telemedicine to People Using Cochlear Implants

Telemedicine for Musculoskeletal Care During the COVID-19 Pandemic: Evaluating Readiness of Saudi Citizens

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